A nurse is reinforcing teaching about preventing disease transmission with the parents of a child who has a streptococcal infection. Which of the following instructions should the nurse include?
"I'll give him acetaminophen for the pain."
"I'll discard his toothbrush and buy another."
"I'll continue to encourage him to drink lots of fluids."
"I'll take his temperature every 4 hours."
The Correct Answer is B
A. "I'll give him acetaminophen for the pain.": Acetaminophen is used for pain relief and fever reduction but does not address disease transmission. It does not prevent the spread of the streptococcal infection.
B. "I'll discard his toothbrush and buy another.": This is crucial because the streptococcal bacteria can remain on the toothbrush, leading to potential reinfection or spreading the bacteria to others. Replacing the toothbrush after starting antibiotics helps to reduce the risk of reinfection.
C. "I'll continue to encourage him to drink lots of fluids.": Staying hydrated is important for recovery, but it does not prevent the transmission of the infection.
D. "I'll take his temperature every 4 hours.": Monitoring temperature helps track the child’s condition but does not prevent the spread of the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fruity breath odour: This is a sign of diabetic ketoacidosis (DKA), a condition associated with hyperglycemia, not hypoglycaemia.
B. Diaphoresis: Sweating is a common sign of hypoglycemia due to the body's release of adrenaline in response to low blood sugar levels.
C. Dry mucous membranes: This is typically associated with dehydration and hyperglycemia, not hypoglycaemia.
D. Polyuria: Frequent urination is a symptom of hyperglycemia, as the body tries to excrete excess glucose through the urine.
Correct Answer is B
Explanation
A. "I will notify the doctor if his temperature is not controlled with acetaminophen." Notifying the doctor if the temperature is not controlled with acetaminophen is appropriate, as persistent fever might indicate a more severe infection or other complications.
B. "I will continue to check his blood sugar two times every day." Checking blood sugar only twice a day is insufficient during illness, especially for a child with type 1 diabetes. Blood glucose levels can fluctuate significantly due to infection, and more frequent monitoring (at least 4 times a day or as recommended) is necessary.
C. "I will report changes in breathing or signs of confusion." Reporting changes in breathing or signs of confusion is essential, as these can be signs of worsening infection, respiratory distress, or diabetic ketoacidosis, which requires immediate medical attention.
D. "I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes." Encouraging fluid intake is important to prevent dehydration and help manage blood glucose levels during illness. Ensuring adequate hydration with water or sugar-free fluids is appropriate.
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